LEE S GARDNER P.A.-C
NPI 1063589612
Physician Assistant - Medical in Idaho Falls, ID

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
2725 CHANNING WAY, IDAHO FALLS, ID 83404(208) 525-8448(208) 525-8118 Get Directions Write a Review

NPPES record last updated: December 7, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lee S Gardner P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEE S GARDNER P.A.-C (NPI 1063589612) is an individual medical provider in Idaho Falls, Idaho, licensed in Idaho (PA-359) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Mountain View Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1063589612
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameLEE S GARDNERCredential: P.A.-C
Location Address2725 CHANNING WAYIdaho Falls, ID 83404-7510
Mailing Address2725 Channing WayIdaho Falls, ID 83404-7510 · (208) 525-8448 · Fax (208) 525-8118
Fax(208) 525-8118
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 29, 2006
Last NPPES UpdateDecember 7, 2009
NPI 1063589612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in ID · PA-359
2725 CHANNING WAY, Idaho Falls, ID 83404

Other Identifiers 1

Medicare UPINP53155ID

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lee S Gardner P.a.-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941272199
PECOS Enrollment IDI20040809001311
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
1,200 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
394 services288 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
202 services140 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
93 services76 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
89 services71 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
87 services87 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Idaho Falls Community Hospital, LLC

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130074
Location2327 Coronado StIdaho Falls, ID 83404 · Bonneville County
Emergency services

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2725 CHANNING WAY
IDAHO FALLS, ID 83404
Physician Assistant
2725 CHANNING WAY
IDAHO FALLS, ID 83404
Family Medicine
2725 CHANNING WAY
IDAHO FALLS, ID 83404
Physician Assistant (Medical)
2725 CHANNING WAY
IDAHO FALLS, ID 83404
Family Medicine
2725 CHANNING WAY
IDAHO FALLS, ID 83404
Physician Assistant (Medical)
2725 CHANNING WAY
IDAHO FALLS, ID 83404
Physician Assistant
2725 CHANNING WAY
IDAHO FALLS, ID 83404
Clinic/Center
2725 CHANNING WAY
IDAHO FALLS, ID 83404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lee Gardner's NPI number?

The NPI number for Lee Gardner is 1063589612. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Lee Gardner located?

Lee Gardner practices at 2725 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 525-8448.

What is Lee Gardner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lee Gardner enrolled in Medicare?

Yes. Lee Gardner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lee Gardner accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and University of Utah Health Plans list Lee Gardner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lee Gardner affiliated with any hospitals?

According to CMS data, Lee Gardner is affiliated with Mountain View Hospital and Idaho Falls Community Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Lee Gardner was last updated on December 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.